Individual
MS. DANA MARIE DISANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3930
(215) 456-1432
Mailing address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-3930
(215) 456-1432
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013620
PA
Other
Enumeration date
03/11/2014
Last updated
11/03/2014
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